FORM 1023-EZ for PALMETTO HOUSE OF HOPE INC

Field Data
EIN 82-0822163
Case Number EO-2017079-000205
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PALMETTO HOUSE OF HOPE INC
Organization’s Mailing Address 10439 BERE ISLAND DRIVE
City CHARLOTTE
State NC
ZIP 28278-6646
Accounting period End 12
Primary contact name OJETTA BYRD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OJETTA BYRD
EXECUTIVE DIRECTOR
10439 BERE ISLAND DRIVE
CHARLOTTE NC 28278-6646

Officer/Director/Trustee Two

TRAVONTE CATHCART
ASSISTANT DIRECTOR
4728 OLD LANTERN WAY
CHARLOTTE NC 28212-5588

Officer/Director/Trustee Three

LENORE WILKINSON
SECRETARY
7003 WALLACE ROAD
CHARLOTTE NC 28212-6880

Officer/Director/Trustee Four

BEVERLY MOSS
TREASURER
4921 ALBEMARLE ROAD
CHARLOTTE NC 28205-6455

Officer/Director/Trustee Five

TRACEY MCDONALD
OUTREACH COORDINATOR
5412 CREEK RUN COURT
CHARLOTTE NC 28086-8490

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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